Quality Improvement for Institutions
www.cvquality.acc.org

How Improvement Activities Work

Clinicians must complete up to four Improvement Activities for a minimum of 90 days. CMS has assigned high or medium "weights" to Improvement Activities, allowing clinicians the option of completing two high-weight, four medium-weight, or a combo of one high-weight and two medium-weight activities to receive MIPS credit. Note: Groups with fewer than 15 participants or clinicians in a rural or health professional shortage area need to only complete up to two activities for a minimum of 90 days.

Learn more about Improvement Activity requirements and selection process through the CMS website.

ACC MIPS Improvement Activities

The following ACC National Quality Campaigns and clinical tools count as Improvement Activities under the Merit-Based Incentive Payment System (MIPS) – one of two ways clinicians can participate in the Centers for Medicare and Medicaid Services' Quality Payment Program.

High-Weight Improvement Activities

Medium-Weight Improvement Activities

How to Claim Participation in ACC Improvement Activities

*Note: CMS is supporting clinicians treating COVID-19 on the front lines by "implementing additional extreme and uncontrollable circumstances policy exceptions and extensions" on reporting and data submission deadlines associated with MIPS. Learn more on ACC.org. Read more from CMS.

*Note: Oct. 2, 2020 is the last date to BEGIN participation in these programs to meet the 90-day minimum.

For Clinicians

  1. Check your MIPS participation status by entering your 10-digit National Provider Identifier (NPI) number.
  2. Use the NCDR Participant Directory to find out if your associated hospital is participating in a relevant registry.
  3. If YES, the hospital Registry Site Manager can verify whether the hospital is also participating in ACC;s Reduce the Risk: PCI Bleed Quality Campaign or ACC's CathPCI Registry or Chest Pain – MI Registry and submitting COVID-19 data for patients in these registries. If using the Professional Data Portfolio App, clinicians can attest on their own.

    If NO, your hospital can visit here to enroll in a registry and then you can request that your hospital opt in to participate in a quality program. The quality programs are free with registry participation and easy instructions are available on the respective websites.
  4. Clinicians associated with either Reduce the Risk: PCI Bleed or COVID-19 data collection will need to report their participation through their MIPS reporting mechanism (i.e., attestation, Qualified Clinical Data Registry [QCDR], Qualified Registry, EHR, CMS web Interface) using the associated MIPS Activity ID.
    • Clinicians can complete a short COVID-19 MIPS survey form and receive a Chest Pain - MI and/or a CathPCI Registry COVID-19 certificate of participation.
    • While documentation of an activity is not required to report participation, CMS urges participants to maintain documentation for six years.

    ACC and Veradigm's Outpatient Registries

    The ACC and Veradigm's Outpatient Registries, the PINNACLE Registry and Diabetes Collaborative Registry, support all improvement activities. Click here to learn more.

     


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